Chemagination 2008 Entry Form

2008 CHEMAGINATION CONTEST

ENTRY SUBMISSION FORM

Notes:

Use this form if you are a TEACHER submitting a Chemagination Article for your students.
You must have the article as a document file (preferably Microsoft Word) on your computer before you fill out the form below.
You must submit one form for each student entry.
The deadline is midnight April 25th.

Teacher's Name

Full Name

(required)

School

(required)

Street Address
(US Mail)

City, State Zip

Phone

(XXX-XX-XXXX, required)

E-mail address

(required)

Re-type E-mail address

(required)

Title of Presentation

(required)

Category

(required)

Document file

(.pdf or .doc required)

Figure(s)
(optional - we prefer to have figures and illustrations embedded in the document file)

1. (optional)
2.
3.
4.
5.
6.

Name of 1st Student Author
(required)

Grade:

Name of 2nd Student Author
(required)

Grade:

Name of 3rd Student Author
(optional)

Grade:

Any Short Message to the organizers

PLEASE... Review the above data for accuracy before submitting.